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The use of absorbable microfibrillation collagen to control sternal bone marrow bleeding
1Department of Thoracic and Cardiovascular Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
International Surgery
|January 1, 1988
Summary
Bone wax can delay sternal healing. A new technique uses absorbable collagen to control bleeding, showing excellent initial clinical results for improved sternum healing.
Area of Science:
- Surgical Innovation
- Biomaterials Science
- Cardiothoracic Surgery
Background:
- Bone wax is commonly used to control sternal bleeding during cardiac surgery.
- However, bone wax has been associated with delayed sternal healing and potential complications.
Purpose of the Study:
- To introduce and evaluate an alternative method for controlling sternal bone marrow bleeding.
- To assess the efficacy of absorbable microfibrillar collagen as a replacement for bone wax.
Main Methods:
- A novel technique involving the application of fashioned strips of absorbable microfibrillar collagen.
- Collagen application to the cut surface of the sternal marrow after sternal division and/or prior to closure.
Main Results:
- Initial clinical experience with the collagen technique has been excellent.
- The method effectively controlled sternal bone marrow bleeding without apparent adverse effects on healing.
Conclusions:
- Absorbable microfibrillar collagen offers a promising alternative to bone wax for sternal hemostasis.
- This technique may help mitigate delayed sternal healing associated with traditional bone wax use.